Dane CCC R300355

Record Type: Declaration

Family Name: Gustafsson

Given Name: Karl Gunnar

Family Name - Alternate (X- Name at top of card):

Given Name - Alternate:

Address: 613 Atwood Ave, Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): V 12 P 173

Title/Location of Court: Circuit Court, Dane

Place of Birth: Hofmantorp, Sweden

Date of Birth: Mar. 9, 1895

Certificate #:

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: